Identifier: britishjournalof26brit (find matches)
Title: The British journal of dermatology
Year: 1888 (1880s)
Authors: British Association of Dermatology
Subjects: Dermatology Syphilis
Publisher: London H.K. Lewis (etc.)
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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distribution,which was symmetrical, Avas as follows : There were numerous smallnodules, constituting an efflorescence at the outer angle of both eyesand on the neighbouring area of the forehead, over the malar emi-nences, on the bridge of the nose, and on both sides of the cartilaginousportion of the nose and a\se nasi and on both cheeks; on the upperand lower eyelids on both sides there were numerous small nodulesand scars, the lower lids being everted, especially on the right side.There were numerous similar lesions Ijehind the ears, on the upper EPITHELIOMA AND TRICHO-EPITHELIOMA. 177 lip and on tlie chin just below the lower lip, and in this latter positiona deep rodpnt ulceration had taken place, about 30 by 10 nun. inextent, tlie long axis being in the horizontal axis of the face. Jheedge of this ulceration was typical of rodent, being rolled and ofcartilaginous hardness. The lower lip was everted by the ulceration,which had extended deeply, so that the skin was adherent to the
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Fig. 3. Case 2.—Clinical appearance in second case. A. Efflorescence ofsmall tumours, some of them scabbed and scratched. B. Scarring fromold operation, c. Deep rodent ulceration. D. Deep rodent ulceration. underlying bone. There was another similar ulceration, about 40 by10 mm. in e.xtent, along the lower border of the left jaw, the longaxis being in the horizontal line of the jaw-bone. Eather largerindividual solid tumours wei-e found on the skin over the pomumAdami, on the left upper ann and forearm, on the front of the chest,over the left clavicle, and in the left axilla. Fine blood-vessels courseover the ridge of the larger tumours, some of which are reddened and 178 EPITHELIOMA AND TRICHO-EPITHELIOMA. more vascular than others. In many cases there were crusts on thesmaller tumours, probably caused by the mans habit of picking off thetops, and so making them bleed, for they appear to be slightly itchy attimes. But there was no actual ulceration except in the two positionsdescri

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